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NPI Code Detail

MEDICARE: ALPHA SCHOOL CENTER FOR PROGRESSIVE LIVING, INC.

MEDICARE: ALPHA SCHOOL CENTER FOR PROGRESSIVE LIVING, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447471248
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALPHA SCHOOL CENTER FOR PROGRESSIVE LIVING, INC.
Provider Business Mailing Address
First Line : 2400 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-4830
Country : US
Telephone Number : 718-257-5800
Fax Number : 718-649-7040
Provider Business Practice Location Address
First Line : 2400 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-4830
Country : US
Telephone Number : 718-257-5800
Fax Number : 718-649-7040
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. BARRY ADDISON
Credential : CPP,CAS,RAS
Telephone Number : 718-257-5800
Provider Enumeration Date : 05/01/2007
Last Update Date : 08/22/2020

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Directions to “ALPHA SCHOOL CENTER FOR PROGRESSIVE LIVING, INC. ” Practice Location

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